NPI | 1811499064 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL CARTER President 413-441-8765 |
Organization Subpart ? | No |
Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 76190) |
Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: MA 76190) |
Enumeration Date | 2018-03-05 |
Last Update Date | 2018-03-05 |